Laura Sunn MD SC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

26059-020 Issued in WI

Legal business name

LAURA SUNN MD SC

Practice address

5802 Washington Ave Ste 201
Racine, WI 53406-4050

Phone

(262) 886-5700

Fax

(262) 886-4747

NPI assigned

Mar 3, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Laura A Sunn, M.D

Title

President

Phone

(262) 886-5700

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Altenberg Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Barry M Altenberg MD SC

  • Clinic/Center
  • Racine, WI
  • NPI 1669565347
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joyce Shirley Degenhart, PHD

  • Clinical Psychologist
  • Racine, WI
  • NPI 1760696074
  NPD (past)
• Ilva E Van Valkenburgh, MD

  • Psychiatry Physician
  • Glendale, WI
  • NPI 1659453405
  NPD (past)
• Barry Matthew Altenberg, MD

  • Psychiatry Physician
  • Santa Fe, NM
  • NPI 1629163134
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1447420724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 PRAIRIE DR STE D",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534063971",
            "telephone_number": "262-898-7100",
            "fax_number": "232-898-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5802 WASHINGTON AVE STE 201",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534064050",
            "telephone_number": "262-886-5700",
            "fax_number": "262-886-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA SUNN MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "SUNN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-886-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WI",
            "license": "26059-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30789900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lakeview Pharmacy of Racine Inc
• Jacqueline Lamberton, P.T.
• Robert J Lamberton, DDS
• Tyler M Lang, DPT
• Marlena Larson, PSY.D.
• Lauren Murphy Payne and Associates
• Gregory Lautz, LPC
• Roxanne Noelle Le Beau, MA, LPC, CADC
• Ngan T Le
• Le'Dove Afh LLC

• Clinic/Center in Racine, WI
• Providers in Racine, WI by specialty
• Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.